DR. OMAR AHMAD M.D.
NPI 1093779456
Internal Medicine - Hematology & Oncology in Millington, TN

Active since April 13, 2006
4772 NAVY RD STE A, MILLINGTON, TN 38053(901) 873-0930(901) 873-0931 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2021, Apr 29, 2021 (2 updates tracked since 2021).

About Dr. Omar Ahmad M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. OMAR AHMAD M.D. (NPI 1093779456) is an individual hematology & oncology provider in Millington, Tennessee, licensed in Tennessee (MD29190) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1093779456
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. OMAR AHMADCredential: M.D.
Location Address4772 NAVY RD STE AMillington, TN 38053-1927
Mailing Address4772 Navy Rd Ste AMillington, TN 38053-1927 · (901) 873-0930 · Fax (901) 873-0931
Fax(901) 873-0931
Sole ProprietorNo
Enumeration DateApril 13, 2006
Last NPPES UpdateMay 12, 20212 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
NPI 1093779456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in TN · MD29190
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

4772 NAVY RD STE A, Millington, TN 38053

Other Identifiers 1

Medicaid3850166TN

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
4772 NAVY RD STE A
MILLINGTON, TN 38053
Nurse Practitioner (Family)
4772 NAVY RD STE A
MILLINGTON, TN 38053
Nurse Practitioner (Family)
4772 NAVY RD STE A
MILLINGTON, TN 38053
Nurse Practitioner (Family)
4772 NAVY RD STE A
MILLINGTON, TN 38053
Nurse Practitioner (Family)
4772 NAVY RD STE A
MILLINGTON, TN 38053
Physician Assistant
4772 NAVY RD STE A
MILLINGTON, TN 38053
Family Medicine
4772 NAVY RD STE A
MILLINGTON, TN 38053
Physician Assistant
4772 NAVY RD STE A
MILLINGTON, TN 38053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omar Ahmad's NPI number?

The NPI number for Omar Ahmad is 1093779456. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Omar Ahmad located?

Omar Ahmad practices at 4772 Navy Rd Ste A, Millington, TN 38053. The listed phone number is (901) 873-0930.

What is Omar Ahmad's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Omar Ahmad was last updated on May 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.